Culturally Re-Centering Contingency Management and Behavioral Economics to Increase Engagement with American Indian Young Adults

在文化上重新定位应急管理和行为经济学，以增加与美国印第安年轻人的参与

• 批准号: 10680447
• 负责人: Katherine Hirchak
• 金额: $ 17.78万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-25 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10680447
• 关键词: Abstinence; Achievement; Adopted; Adult; Alcohol abuse; Alcohol consumption; Alcohols; American Indians; Area; Behavior; Behavior Therapy; Biological Markers; Clinical Trials; Communities; Data; Development; Drops; Focus Groups; Funding; Future; Glucuronides; Goals; Grant; Ground Substance; Health; Heavy Drinking; Indian reservation; Individual; Intervention; Interview; Knowledge; Knowledge acquisition; Literature; Mediator; Mentors; Methods; Modification; Outcome; Persons; Phase; Pilot Projects; Population; Positive Reinforcements; Prevalence; Process; Protocols documentation; Provider; Psychological reinforcement; Randomized; Recovery; Research; Research Activity; Research Personnel; Rest; Rewards; Risk; Rural; Sampling; Scientist; Shoshone Indians; Spirituality; Statistical Data Interpretation; Structure; Substance Use Disorder; Technology; Theoretical model; Time; Training; Tribes; United States National Institutes of Health; Urine; Writing; Youth; aged; alcohol abstinence; alcohol intervention; alcohol misuse; alcohol use disorder; alcohol use initiation; behavioral economics; binge drinking; career; career development; college drinking; community based participatory research; community engaged research; community engagement; contingency management; discounting; drinking; handheld mobile device; improved; innovation; recruit; responders and non-responders; retention rate; secondary outcome; skills; statistics; underserved community; young adult

Project Summary This Mentored Research Scientist Development (K01) application will provide the candidate with the necessary skills to become an independent investigator focused on the development and implementation of alcohol misuse interventions for American Indian (AI) young adults. The activities in the K01 include utilizing community-based participatory research to culturally re-center a Contingency Management alcohol intervention that combines technology-based engagement strategies and behavioral economic theoretical models to increase retention of AI 18-29 year olds. To support the achievement of career and research goals the candidate has carefully assembled a team of experts in the areas of culturally tailoring substance use disorder treatments among AI people, community-based participatory research, behavioral economics, Contingency Management and technology delivered alcohol interventions among young adults (Drs. Kamilla Venner; Nina Wallerstein; James Murphy; Matthew Pearson; Michael McDonell and J. Scott Tonigan). The candidate’s training goals include: 1) Acquire the content knowledge to develop culturally grounded alcohol use disorder interventions and apply behavioral economic theoretical models with AI communities; 2) Harness technology in the delivery of alcohol use disorder interventions; 3) Strengthen expertise in mixed, methods longitudinal and advance statistical analyses; and 4) Grant writing. In partnership with a rural reservation community, the candidate will implement an enhanced Contingency Management (CM) intervention for at risk drinkers (AUDIT > 8) aged18-29 year old, with a focus on enhancing treatment attendance and engagement in substance free activities. This objective will be achieved in two phases, with Phase I consisting of establishing a Community Advisory Board that will guide the research and assist with conducting four focus groups (n = 8 per group) and twenty semi-structured interviews with young adults, providers and cultural leaders to identify the form and structure of a culturally centered approach to treatment and engagement in CM and substance-free activities. Phase II will involve a 12-week two-group RCT (n = 60) that compares standard CM with the re-centered CM plus. Fixed assessments will occur at baseline and at 4, 8, and 12-weeks and the enhanced CM condition will employ mobile devices to assess substance free activities weeks 10-12. Study aims will address (1) whether rewarding treatment attendance and alcohol abstinence increases retention and abstinence, and (2) assess daily community recovery alternatives and engagement in substance-free activities. As an exploratory analysis, we will also assess secondary outcomes to determine responders and non-responders to the planned intervention. Collectively, career development and research activities are tightly integrated and mutually supportive thus offering an ideal platform for Dr. Hirchak to become an independent investigator.

项目摘要 这个指导研究科学家发展（K 01）应用程序将为候选人提供必要的 技能，成为一个独立的调查员，专注于酒精的发展和实施 美国印第安人（AI）年轻人滥用干预措施。K 01中的活动包括利用 以社区为基础的参与性研究，以文化为中心的应急管理酒精干预 它结合了基于技术的参与战略和行为经济学理论模型， 增加18-29奥尔兹的保留率。为了支持职业和研究目标的实现， 候选人精心组建了一个专家团队，在文化上定制物质使用障碍领域 人工智能人群的治疗，基于社区的参与性研究，行为经济学，权变 管理和技术在年轻人中提供了酒精干预措施（Kamilla Venner博士; Nina Wallerstein; James Murphy; Matthew Pearson; Michael McDonell and J. Scott Tonigan）。候选人的 培训目标包括：1）获得内容知识，以发展文化基础的酒精使用障碍 干预措施，并将行为经济学理论模型应用于人工智能社区; 2） 提供酒精使用障碍干预措施; 3）加强混合，纵向方法和 先进的统计分析;和4）赠款写作。与一个农村保留地社区合作， 候选人将实施针对高危饮酒者的强化应急管理（CM）干预（AUDIT > 8）年龄18 -29岁，重点是加强治疗出勤率和参与无物质 活动这一目标将分两个阶段实现，第一阶段包括建立一个共同体， 咨询委员会将指导研究并协助开展四个焦点小组（每组n = 8）， 对年轻人、供应商和文化领袖进行了20次半结构化访谈，以确定 一个以文化为中心的治疗和参与CM和无物质活动的方法的结构。 II期将包括一项为期12周的两组随机对照试验（n = 60），比较标准CM与重新居中的CM plus.固定评估将在基线和第4、8和12周进行，增强CM条件将 使用移动的设备评估第10-12周的无物质活动。研究目标将涉及（1）是否 奖励治疗出勤率和戒酒增加保留和禁欲，（2）评估 日常社区康复替代方案和参与无物质活动。作为探索性分析， 我们还将评估次要结果，以确定计划治疗的响应者和无响应者 干预总的来说，职业发展和研究活动是紧密结合的， 因此，为Hirchak博士成为独立研究者提供了一个理想的平台。

项目成果

Lessons learned from statewide contingency management rollouts addressing stimulant use in the Northwestern United States.

从解决美国西北部兴奋剂使用问题的全州应急管理推广中吸取的经验教训。

• DOI: 10.1016/j.ypmed.2023.107614
• 发表时间: 2023
• 期刊: Preventive medicine
• 影响因子: 5.1
• 作者: Parent,SaraC;Peavy,KMichelle;Tyutyunnyk,Diana;Hirchak,KatherineA;Nauts,Tammera;Dura,Amy;Weed,Lora;Barker,Linda;McDonell,MichaelG
• 通讯作者: McDonell,MichaelG